Active NPI
Gina Shields
- Mental Health Counselor
- Ogden, UT
National Provider Identifier
1326568627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12735328-6009
- Practice address
- 2510 Washington Blvd Ste 180
Ogden, UT 84401-3120 - Phone
- (854) 386-8293
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12735328-6009 | UT | Primary |
Addresses
Primary practice location
2510 Washington Blvd Ste 180
Ogden, UT 84401-3120
Mailing address
185 W 12TH St Ste D
Ogden, UT 84404-5522
Phone (801) 889-5692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2510 Washington Blvd
Suite 180
Ogden, UT 84401-3120
Phone (801) 889-5692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12735328-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior in Balance Bib PC | Mental Health | Current | Accepting new patients |
| Balance in Behavior | Past | Accepting new patients | |
| Neurobehavioral Center for Growth LLC | Past | Accepting new patients |
Locations
185 W 12th St
Ste D
Ogden, UT 84404
2510 Washington Blvd
Ste 180
Ogden, UT 84401
Phone (385) 438-6829
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Ogden, UT
- NPI 1427940790
-
- Behavior Analyst
- Centerville, UT
- NPI 1376144022
-
- Psychologist
- Bountiful, UT
- NPI 1942641931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1326568627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 W 12TH ST STE D",
"city": "OGDEN",
"state": "UT",
"postal_code": "844045522",
"telephone_number": "801-889-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 WASHINGTON BLVD STE 180",
"city": "OGDEN",
"state": "UT",
"postal_code": "844013120",
"telephone_number": "854-386-8293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "GINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "12735328-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.